Women’s Pelvic Health Care in Central Florida

Hospital room with a view of a lake or river

Middle-aged woman holding vegetable basket in garden — Is the Pelvic Health Program **Right for You?**

If you’ve recently had a baby, or are experiencing pelvic pain or other concerning symptoms, our Pelvic Health Program is here to help you regain your strength and confidence. Take our quick symptoms quiz to find out if the Pelvic Health Program can help you feel like yourself again.

Take the Quiz

Woman on computer in kitchen close crop green shirt — Compassionate Care for **a Better Quality of Life**

Whether it’s from childbirth, age, straining, an injury or surgery, pelvic floor problems can feel physically painful and emotionally isolating. But conditions like urinary and fecal incontinence are more common than you might think, and they’re very treatable.
Our multidisciplinary team includes experts from urogynecology (also known as female pelvic medicine and reconstructive surgery), colorectal surgery, gastroenterology, gynecology, urology and pelvic floor physical therapy.

Dark-haired woman relaxing on couch with tablet

Expert Care for Common Conditions

We offer physical therapy, medication and minimally invasive surgical techniques (vaginal, laparoscopic and robotic) to address:

Fecal incontinence
Frequent or urgent urination
Leaking urine when laughing or coughing
Overactive bladder
Painful urination
Pressure and pain in your vagina, bladder or rectum
Urinary incontinence
Vaginal bulging

For more complex conditions, our experts offer advanced treatment and surgery for:

Anal stenosis
Anismus
Pelvic floor dysfunction
Pelvic organ prolapse (cystocele, rectocele, uterine and vault prolapse)
Rectal prolapse
Rectovaginal fistula
Recurrent urinary tract infections
Urethral diverticulum
Urinary retention
Vaginal mesh complications
Vesicovaginal fistula

Pelvic Health Program Downloadable Guide Cover — Be Informed, **Feel Empowered**

We understand the stress that pelvic floor disorders can cause. That’s why we created this guide to help ease your mind and answer common questions, including:
What conditions does pelvic health include?
What are the symptoms of these conditions?
How do I know if I need pelvic floor rehabilitation?
Are there non-surgical or minimally invasive procedures to treat my condition?

Download Your Guide

Meet Your Team in Advanced Pelvic Care

Our comprehensive Pelvic Health Program offers each woman a personalized care plan with an integrated medical team, including experts in urogynecology, urology, colorectal surgery, gastroenterology and care coordination.

Yaphet Tilahun, MD, FACS, FASCRS

**Yaphet Tilahun, MD, FACS, FASCRS**
Colorectal Surgeon
Yaphet Tilahun, MD, FACS, FASCRS, is a board-certified and Ivy League-educated colon and rectal surgeon skilled in minimally invasive and laparoscopic surgery. Dr. Tilahun completed his advanced subspecialty training at Brown University Warren Alpert Medical School. Prior to that time, he was chief resident in general surgery at AdventHealth Orlando, where he was inducted into the Alpha Omega Alpha national medical honor society. He earned his medical degree at the University of Massachusetts (UM) Medical School in Worcester and holds bachelor’s and master’s degrees in microbiology from UM Amherst.

Vivian Del Carmen Aguilar, MD — Vivian C Aguilar, MD, FACOG, FPMRS

**Vivian C Aguilar, MD, FACOG, FPMRS**
Urogynecologist
Vivian Aguilar, MD, FACOG, FPMRS, is a board-certified urogynecologist specializing in female pelvic medicine and reconstructive surgery. She is passionate about patient care, helping women understand pelvic floor disorders to determine the best treatment options and improve each woman’s quality of life. Dr. Aguilar is honored to serve the women of Celebration and Kissimmee. She is fluent in English and is a native Spanish speaker. As an educator of medical students and residents, she has been honored with several excellence in teaching awards.

Viviana Casas-Puig, MD

**Viviana Casas-Puig, MD, FACOG**
Urogynecologist
Viviana Casas-Puig, MD, FACOG, is a board-certified OB/GYN who specializes in urogynecology and performs vaginal, laparoscopic and robotic-assisted procedures. She is passionate about individualized care and improving her patients’ quality of life. Dr. Casas-Puig received her medical degree from the Ponce Health Sciences University, completed a research fellowship at the Obstetrics, Gynecology and Women’s Health Institute at the Cleveland Clinic and a fellowship in female pelvic medicine and reconstructive surgery. She is a fellow of the American College of Obstetricians and Gynecologists and a member of the American Urogynecologic Society.

Lindsay Kissane, MD

**Lindsay Kissane, MD**
Urogynecologist
Lindsay Kissane, MD, FACOG, is board certified in obstetrics and gynecology and board eligible in female pelvic medicine and reconstructive surgery. A graduate of Florida State University and its medical school, Dr. Kissane completed her OB/GYN residency at NYU Winthrop Hospital in New York and her fellowship at the University of Alabama at Birmingham. Dr. Kissane’s clinical interests include pelvic organ prolapse, urinary and fecal incontinence and vesicovaginal and rectovaginal fistulas.

Casey Lauren Seltzer, PA-C

**Casey Lauren Seltzer, PA-C**
Physician Assistant, Urogynecology
Casey Seltzer, PA-C, is a urogynecology physician assistant. She worked for eight years as a physician assistant at Hunt Club Medical in Apopka, Florida, and previously was a physician assistant at Express Family Clinic. Casey has a bachelor’s degree in biology from Rollins College and a master’s degree in medical science from Nova Southeastern University. She has been a member of the American Academy of Family Physicians since 2018.

nathalie gutierrez — Nathalie Gutierrez, PA-C

**Nathalie Gutierrez, PA-C**
Urogynecology
Nathalie Gutierrez, PA-C, is a board-certified physician assistant. She recently earned her Master of Physician Assistant Studies from the University of Florida in Gainesville and also holds a Bachelor of Science in Biomedical Science from the University of Central Florida in Orlando, FL. Before becoming a physician assistant, Nathalie was an emergency medicine medical scribe at Dr. Phillips Hospital in Orlando and went on to become a lead medical assistant at Optimotion Orthopaedic in Orlando and a dermatology medical assistant at Sharon A. Stokes Dermatology in Orlando, FL. Nathalie has also served as an OB/GYN Medical Assistant at Advanced OB/GYN of Central Florida. She feels called to urogynecology because the field allows her to make a direct and meaningful impact on her patients’ well-being. Nathalie finds helping women regain confidence and comfort in their daily lives incredibly fulfilling. She feels passionate about contributing to a specialty requiring technical expertise and compassionate, empathetic care.

Abrianna (Abri) Lusito, PA-C — Abrianna Lusito, PA-C

**Abrianna Lusito, PA-C**
Urogynecology
Abrianna Lusito, PA-C, is a board-certified physician assistant who graduated from Nova Southeastern University in Orlando, FL, with a Master of Science in Physician Assistant Studies. She also holds a Bachelor of Science in Biology from the University of Florida in Gainesville, FL. She was a physician assistant at Women’s Care Florida in Winter Park, FL, where she served women of all ages and cared for patients from pre-conception through menopause. Abrianna wants her patients to know that she is committed to them. She will always listen to their concerns and consider their desires before coming up with a plan of care to help her patients achieve the best possible outcome.

Julie Schneider, MD

**Julie Schneider, MD**
Urogynecologist
Julie Schneider, MD, is a board-certified gynecologist and urogynecologist. Dr. Schneider is the only female physician in Volusia County who is double board certified in gynecology and female pelvic medicine and reconstructive surgery. She specializes in urinary incontinence, fecal incontinence, prolapse repair, pelvic floor reconstruction and rehabilitation, overactive bladder, Lichen sclerosus and vulvodynia. Dr. Schneider is also a certified instructor for the treatment of urinary incontinence, urinary frequency, urinary retention and fecal incontinence, using Medtronic therapy.

Brittany Wright, PA-C

**Brittany Wright, PA-C**
Physician Assistant, Urogynecology
Brittany Wright, PA-C, is a certified urogynecology physician assistant who serves every patient with wholehearted care. She earned a Master of Science in Physician Assistant Studies at Keiser University and holds a Bachelor of Arts in Biology from Mount Saint Mary College. Brittany has been a surgical and orthopedic physician assistant in Orlando and Leesburg since 2020. She specializes in care for general surgery, gynecology, urology, obstetrics, family medicine, emergency medicine and orthopedics. In every specialty, Brittany helps patients reach their goals and lead happy, healthy lives.

Daniel Galante, DO, FACS, FASCRS

**Daniel Galante, DO**
Colon and Rectal Surgeon
Daniel Joseph Galante, DO, FACS, is a board-certified colon and rectal surgeon and Assistant Program Director for the Colon and Rectal Surgery Fellowship program. His areas of expertise include the use of minimally invasive technologies in colon and rectal cancer treatment, including TAMIS and laparoscopic surgery. He specializes in the surgical treatment of both Crohn’s disease and ulcerative colitis and is proficient treating all common anorectal diseases including hemorrhoids, fistulas and perianal abscesses. Dr. Galante has published numerous, peer-reviewed articles in medical publications and received the 2016 Gershon Efron, MD Resident of the Year Award from the Sinai Hospital Department of Surgery for commitment to patient care, safety, leadership and teamwork — as selected by faculty and staff of the department.

Elizabeth Sherlock, PA-C

**Elizabeth Sherlock, PA-C**
Physician Assistant, Urogynecology
Elizabeth Sherlock, PA-C, is a certified physician assistant dedicated to providing compassionate, comprehensive care to women. She earned her Master of Medical Science degree with honors at Nova Southeastern University in Davie, FL. Elizabeth is highly experienced in obtaining patient histories, ordering and interpreting diagnostic tests and studies, performing in office procedures and providing pre-operative and post-operative care for surgical patients.

Jeremy M. Drake, MD — Jeremy M Drake, MD

**Jeremy M Drake, MD**
Colorectal Surgeon
Jeremy Drake, MD, is a board-certified colon and rectal surgeon with advanced fellowship training in robotic surgery for colon and rectal cancer. Dr. Drake received his medical degree from the University of Alabama School of Medicine in Birmingham and completed his residency in general surgery at the University of South Alabama College of Medicine in Mobile. He is particularly interested in the screening and treatment of colon and rectal cancers, pelvic floor disorders and benign anorectal diseases, including best practices for managing hemorrhoids and fistulas. In addition to being an award-winning physician, Dr. Drake is a former Division I student-athlete and Academic All-American.

Karoline Neumann, ARNP, NP-C

**Karoline Neumann, APRN, NP-C**
Nurse Practitioner, Colorectal Surgery
Karoline Neumann, APRN, NP-C, is a certified family nurse practitioner who earned her Master of Science in Nursing at Vanderbilt University in Tennessee. Karoline has expertise in pelvic floor dysfunction, especially as it relates to bowel health, and assists patients with obtaining optimal health and well-being through a holistic approach. She facilitates a quarterly educational support group which focuses on complementary strategies for wellness. Karoline believes in the divine worth and dignity of every patient and is committed to creating a warm, welcoming and non-judgmental environment to help patients find relief from symptoms and obtain optimal health.

Norbert Garcia-Henriquez, MD, FACS, FASCRS

Norbert Garcia-Henriquez, MD, FACS, FASCRS
Colorectal Surgeon
Norbert Garcia-Henriquez, MD, FACS, FASCRS, is a board-certified colon and rectal surgeon. He specializes in minimally invasive procedures to manage colon and rectal cancer, including advanced laparoscopy and transanal surgery. Dr. Garcia-Henriquez has a special interest in managing complex inflammatory bowel disease and is proficient in treating all common and complex anorectal disorders, including hemorrhoids, fistula in ano, and perianal and perirectal abscesses.

Danielle Price, MD

**Danielle Price, MD**
Urogynecology
Danielle Markle Price, MD, is a board-certified urogynecologist and pelvic reconstructive surgeon. She earned her medical degree from the University of California, Irvine School of Medicine, where she also completed her residency in obstetrics and gynecology and advanced fellowship training in female pelvic medicine and reconstructive surgery. Dr. Price is a specialist in robotic and minimally invasive gynecologic surgery. She advocates for patients, taking pride in her ability to offer patients more treatment options and the latest medical technology. Dr. Price is committed to providing her patients with individualized attention, education and treatment in a relaxed and comfortable environment.

Nathan Kow, MD

**Nathan Kow, MD**
Medical Director, Pelvic Health Program, Urogynecologist
His clinical interest include pelvic organ prolapse, urinary incontinence, fecal incontinence, vesicovaginal and rectovaginal fistulas, disorders of the lower urinary tract, and management of mesh complications. Furthermore, he has published on many subjects related to pelvic floor disorders.

Dr. Kow has a strong presence in innovation in the healthcare space. He serves as a key opinion leader for several medical device companies, editorial board member for International Academy of Pelvic Surgery, as well on the advisory board for several healthcare firms.

Teresa H deBeche-Adams, MD, FACS, FASCRS

**Teresa H deBeche-Adams, MD, FACS, FASCRS**
Colorectal Surgeon
Teresa H. deBeche-Adams, MD, FACS, FASCRS, is a board-certified and fellowship-trained colon and rectal surgeon, who treats diseases and disorders of the colon and rectum. Dr. deBeche has dedicated her career to maximizing outcomes while minimizing patient downtime using the revolutionary surgical procedure TAMIS (transanal minimally invasive surgery), and as a daVinci® certified robotic surgeon. With regular participation in specialized medical and surgical conferences addressing pelvic floor pathology and GI tumors, she stays at the forefront of the most advanced technology and innovative techniques. Dr. deBeche is the Director of the Rectal Physiology Lab and a part of AdventHealth Cancer Institute’s Rectal Cancer Program, honored as the third program in the country to be accredited by the National Accreditation Program for Rectal Cancer.

Daniel S Hoffman, MD

**Daniel S Hoffman, MD**
Urologist
Daniel Hoffman, MD, is a board-certified urologist with fellowship training in female pelvic medicine and reconstructive surgery. A native Puerto Rican with fluency in English and Spanish, he completed consecutive residencies in general surgery and urology at the University of Puerto Rico School of Medicine. He then completed his elite fellowship training at New York University Langone Medical Center in New York. His clinical interests include the physiologic assessment of voiding dysfunction through urodynamic testing, and he is a published expert in the management of complex urinary tract fistulae, urinary incontinence, overactive bladder and pelvic floor reconstruction.

Rebeccah Briskin, DO

**Rebeccah Briskin, DO, FACOOG**
Urogynecologist
Rebeccah Briskin, DO, FACOOG, is board-certified in obstetrics and gynecology and board-eligible in female pelvic medicine and reconstructive surgery. She is committed to offering traditional and holistic options for her patients to achieve the best possible outcomes. Dr. Briskin received her medical degree from the Philadelphia College of Osteopathic Medicine. She completed an obstetrics and gynecology residency at Inspira Health Network, where she was Chief Resident, and a female pelvic medicine and reconstructive surgery fellowship at Henry Ford Health System.

Anna Sakata, PA-C

**Anna Sakata, PA-C**
Urogynecology
Anna S. Sakata, PA, is a board-certified physician assistant specializing in urogynecology. After earning Bachelor of Arts degrees in international relations and American studies from Catholic University of Korea, Anna graduated from AdventHealth University in Orlando, Florida, with a Master of Science in Physician Assistant Studies degree. She has a wide variety of clinical experience, including gynecological surgery, Cesarean delivery, plastic and reconstructive surgery and general surgery.

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Specialized Treatments for Greater Peace of Mind

We’re here to help you feel like yourself again with leading-edge treatments from experts who put you first. Count on our team for comprehensive, coordinated pelvic health services, including urogynecology, urology, colorectal care and pelvic rehabilitation services designed to improve your quality of life.

Advanced Pelvic Surgery

Our highly skilled surgeons are leaders and teachers in their fields. They provide a wide range of surgical treatments, including the latest minimally invasive surgical techniques (vaginal, laparoscopic and robotic), which reduce discomfort and shorten recovery time.
Specialized Pelvic Floor Physical Therapy

When your pelvic floor muscles are too tight or too weak, they can cause incontinence (loss of bladder control) or even pain. Our board-certified physical therapists have special training in treating bowel and bladder function, pelvic pain, abdominal/organ conditions and other pelvic floor dysfunctions. They use the latest advances in rehabilitative techniques, including computerized biofeedback, and can show you strengthening and relaxation techniques you can do at home.

Hear From Patients in Our Pelvic Health Program

Lori Ellison: Finding Incontinence Relief

Experience Care Designed for You

Whether you’re concerned about your pelvic health or seeking a specific treatment, our care coordinators are here to guide and support you. Our team will reply to your appointment request within 48 hours.

Or call us at 855-843-8424.

Take Charge of Your Pelvic Health

Is the Pelvic Health Program Right for You?

Compassionate Care for a Better Quality of Life

Expert Care for Common Conditions

Be Informed, Feel Empowered

Meet Your Team in Advanced Pelvic Care

Yaphet Tilahun, MD, FACS, FASCRS

Vivian C Aguilar, MD, FACOG, FPMRS

Viviana Casas-Puig, MD

Lindsay Kissane, MD

Casey Lauren Seltzer, PA-C

Nathalie Gutierrez, PA-C

Abrianna Lusito, PA-C

Julie Schneider, MD

Brittany Wright, PA-C

Daniel Galante, DO, FACS, FASCRS

Elizabeth Sherlock, PA-C

Jeremy M Drake, MD

Karoline Neumann, ARNP, NP-C

Norbert Garcia-Henriquez, MD, FACS, FASCRS

Danielle Price, MD

Nathan Kow, MD

Teresa H deBeche-Adams, MD, FACS, FASCRS

Daniel S Hoffman, MD

Rebeccah Briskin, DO

Anna Sakata, PA-C

Specialized Treatments for Greater Peace of Mind

Advanced Pelvic Surgery

Specialized Pelvic Floor Physical Therapy

Hear From Patients in Our Pelvic Health Program

Experience Care Designed for You

Is the Pelvic Health Program Right for You?

Compassionate Care for a Better Quality of Life

Expert Care for Common Conditions

Be Informed, Feel Empowered

Meet Your Team in Advanced Pelvic Care

Specialized Treatments for Greater Peace of Mind

Advanced Pelvic Surgery

Specialized Pelvic Floor Physical Therapy

Meet Your Health Navigation Team

Doreen Forsythe, BSN, RN

Kathryn Ong, RN

Amy Busse, BSN, RN

Hear From Patients in Our Pelvic Health Program

We’re on a Mission to Advance Women's Health Care

National Leader in Women's Care and the Highest-Ranked in Orlando

National Leader in Urology Care

Nationally Recognized for Patient Safety, Quality and Transparency

Experience Care Designed for You